| NPI | 1528505583 | 
|---|---|
| Doing Business As | STAFFORD DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | DOUGLAS SCOTT STAFFORD Owner 813-655-9900 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN12972) | 
| Enumeration Date | 2017-01-27 | 
| Last Update Date | 2017-01-27 |